Individual
MACKENZIE A TORLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
630 BROADWAY ST, MADISON, IN 47250-3310
(812) 801-0611
Mailing address
630 BROADWAY ST # 2, MADISON, IN 47250-3310
(812) 801-0995
(812) 801-8621
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
28205773A
IN
363LF0000X
Family Nurse Practitioner
Primary
71017177A
IN
Other
Enumeration date
07/29/2025
Last updated
10/07/2025
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